Fourth Avenue Homes Inc, Clara City

License Number- 1076665

License Type-Home and Community Based Services – Community Residential Setting

Name of Program-  Fourth Avenue Homes Inc

Website-  

Address- 3065 90TH AVE SE, Clara City, MN 56222-1125

County -Chippewa

Phone-(320) 847-2738

License Status-   Active

License Holder -Fourth Avenue Homes Inc

Capacity-   3

Type Of License-  This community residential setting license is a satellite operating under 245D-HCBS Program License Number 1068742; and providing Community Residential Setting: Foster Care services or supported living services

Restrictions-None

Services-       

Licensing Authority-  Chippewa County Family Services

Initial Effective Date-  11/20/2014